Organization
MICHAEL T. MCCORMICK & ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROY CLINT LAIRD (OWNER AND CEO)
(941) 493-8666
Entity
Organization
Contact information
Practice address
17835 MURDOCK CIR, PORT CHARLOTTE, FL 33948-4000
(941) 624-6300
(941) 624-6157
Mailing address
PO BOX 825159, PHILADELPHIA, PA 19182-5159
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
02/06/2025
Last updated
05/29/2025
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